Viral Evasion of Host Immune System - SHOULD BE IN MICROBIOLOGY Flashcards

1
Q

Give facts about viruses

A

Viruses - IC pathogens:

  • Represented via. MHC I mechanisms
  • Cellular immunity clears viral infection BUT is short-lived
  • Internal viral proteins can be targets of cellular immunity as they vary LESS than surface antigens
  • Evading viruse example inc. HSV
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2
Q

3 ways of Virus Evasion?

A

(1) Evasion of Antigen Loading to TAP
(2) Modulation of Tapasin Function & Prevention of MHC Transport
(3) Interfering with MHC Presentation at Cell Surface

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3
Q

Cellular I.R to viruses?

A

MHC Class I (present on ALL cells)
• presents ENDOGENOUS peptides

CD8+ T-cell will recognise MHC complex –> releases granzyme to kill cell

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4
Q

Explain the Virus Evasion technique of (1) Evasion of Antigen Loading to TAP

A

TAP = loads proteins onto MHC Class I

e.g. EBV, HSV & CMV

 EBV - EBNA1 cannot be processed by the proteasome
 HSV - ICP47 blocks access of processed peptide to TAP
 CMV - US6 stops ATP binding to TAP thus preventing translocation

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5
Q

Explain the Virus Evasion technique of (2) Modulation of Tapasin Function & Prevention of MHC Transport

A

 CMV
- US3 binds Tapasin and prevents peptides being loaded to MHC.

 Adenovirus
- E3-19K prevents recruitment of TAP to Tapasin and retains MHC in ER.

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6
Q

Explain the Virus Evasion technique of (3) Interfering with MHC Presentation at Cell Surface

A

KSHV - Kaposi’s Sarcoma-associated Herpes Virus

 KSHV
- kK3 protein induces polyubiquitinylation and internalisation of MHC.
o From internalised endosome, MHC is passed to lysosomes.

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7
Q

How do viruses evade the NK killing mechanism?

A

NK cells check that EVERY CELL has MHC Class I
• if does not, it is killed by NK cells

 Viruses that disrupt MHC presentation would end up being killed by NK cells

Viruses therefore evade NK cells by:
• encoding its own MHC ANALOGUE
OR
• upregulate MHC

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8
Q

Why does Antigenic Variation occur?

A

o Continued rapid evolution driven by antigenic pressure from host
• influenza antigenic shift
• HIV quasispecies

o Introduction of new subtypes from animal sources
• influenza antigenic shift

o Existing as different stable serotypes that co-circulate in humans
• rhinovirus (100s)
• poliovirus (3)
• dengue (4)

o Consequence of vaccination

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9
Q

What is antigenic drift?

A

Change of ANTIGENS on a virus picked up from an infected cell that give it immunity to Abs formed against its old self

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10
Q

How does HIV avoid Abs?

A

HIV envelope spike gp120 resists neutralisation because:
 Large space between spikes prevent Ab cross-linking.
 Extensive glycosylation masks Ab epitopes.
 Functionally important parts of antigen are poorly accessible – CD4 binding site.

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11
Q

What is the hope for treatment against HIV?

A

Antibodies that can cross-react with many HIV strains
• DOES exist alongside viruses in people that control infection

 BNabs (Broadly Neutralising Abs) produced as biological therapies can control viral load
• this controls viral load but mutants do appear over time of used individually.

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12
Q

What does Dengue Virus cause and how can it be treated?

A

It causes leakage of blood plasma (fluid) from capillaries:
 leads to an INCREASED haematocrit and RBC count and a DECREASED protein count in the blood

 causes severe bruising and bleeding – patients deteriorate even after fever (due to shock).

Treat:
 Treat with IV fluids.

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13
Q

Explain ADE of Dengue

A

Ab-Dependent Enhancement of Dengue

Dengue exists as 4 serotypes
 Abs generated against a PREVIOUS infection can bind but NOT neutralise
 this leads to ADE, causing a dengue haemorrhagic fever

This is as the dengue fever uses the Ab as an access into the monocyte where it reproduces!

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14
Q

Explain the poliovirus vaccine

A

• Polio – one serotype of polio has been completely eradicated, the vaccine is still a trivalent vaccine though.

o Live-attenuated Sabin vaccine – administration of all 3 at once resulted in virus interference and poor response to one component.

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15
Q

How can viruses evade the Ab response?

A

 Glycoprotein antigens:
• these are so heavily glycosylated (mucin-like) that antibody access is hindered – e.g. HIV

 Apoptotic body disguise
• Ebola virus particle membranes have a high phosphatidl serine lipid content
• this makes them look like apoptotic bodies so are taken up by micropinocytosis and hidden from the I.S

 Viral filaments
• viral filaments are hard for Abs to neutralise as GLPs inaccessible in folded packets

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16
Q

How does Ebola evade the I.S?

A

 Glycosylation of Antigens:
• due to heavy glycosylation, harder to neutralise (as in inaccessible folds)

 Soluble Spike Proteins
• this mops up all the Abs SO that they bind to the soluble antigen rathen than the actual virus
• acts as Ab decoys (sGPs) - there are immunosuppresive & inhibit neutrophils

 Act as Apoptotic Bodies
• so is taken up & hidden

17
Q

What is the link between Measles and Immunosuppresion

A

Measles infects CD150+ cells, including MEMORY LYMPHOCYTES
• SO 2-3 years of immunological memory is lost

Therefore, following measles infection, can be re-infected with things that should be protected against
• hence why the vaccination lead to a much larger childhood mortality than expected (>90% reduction in death)

18
Q

Universal Influenza Vaccine?

A

2 regions:

(1) Variable region (HA1) - mutates
(2) Conserved region (HA2) - remains constant

 If we can make an Ab against the hemagglutinin 2 regions (the conserved region) then we could theoretically be immune against influenza as it’s just the variable region that mutates.
 This would be another example of a Broadly Neutralising antibody (BNab).

19
Q

Which answer is not true?
Viruses that can’t control the innate immune system well might….

A: be useful as oncolytic agents
B: be difficult to grow in standard cell culture systems
C: be restricted at crossing the host range barrier and unlikely to spark outbreaks in other species
D: be useful as live-attenuated vaccines
E: be highly adapted to their host species

20
Q

Which is true?
Viruses counteract activation of the interferon system by:

A: varying their coat protein sequences
B: encoding proteins that cleave or target host factors for degradation
C: preventing the loading of peptides by TAP
D: inducing a cytokine storm
E: encoding MHC homologues

21
Q

Which is true?
RNA viruses are more likely than DNA viruses to

A: code for proteins that interfere with innate immunity
B: code for proteins that interfere with cellular immunity
C: Have error prone polymerases that promote antigenic variation
D: Use lipid envelopes to protect their genomes that also contain host proteins that control complement activation
E: Activate interferon induction pathway through cGAS and STING.

22
Q

Which is NOT true concerning the interplay between
Hepatitis C virus and the immune systems

A: Its E2 protein varies by more than 30% so antibodies only bind a tiny fraction of the viral quasispecies
B: T cell epitopes vary so that the virus is not cleared in the early stage of infection and this determines chronicity
C: NS3/4A protease cleaves MAVS and prevents activation of interferon
D: It encodes a protein called vif that counteracts the interferon stimulated gene APOBEC and prevent it from inducing hypermutation of the viral genome
E: A genetic polymorphism in IL28b results in non-responsivenes to interferon treatment

A

D - HIV does this